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Biomedical subjects

D Samolczyk

Publications and source records attributed to D Samolczyk.

11 recordsLinked to original sources

[The effectiveness of selected surgical methods in the treatment of zygomatico-maxillary fractures].

In a period of 3 years, from 1984 to 1986 in the Department of Maxillofacial Surgery, Institute of Stomatology, Medical Academy in Warsaw 442 patients were treated for zygomatico-maxillary fractures, in 101 cases the treatment was conservative, and 341 were treated surgically by various operative methods. The aim of the study was assessment of late effectiveness of the surgical methods used most frequently in zygomatico-maxillary fractures with reposition of skeletal fragments either with one-pronged hook introduced percutaneously or from the side of the lumen of the maxillary sinus. The criterion of effectiveness of both methods was accepted to be functional assessment of the visual system and the stomatognathic system, and the condition of sensory function in the area of innervation by the suborbital nerve. Control examinations were done 2-5 years after operations confirming the both methods were successful in 90% of the treated group. A more detailed analysis of these methods is not possible since the qualification for these operations differentiated essentially both groups of patients.

Follow-Up Studies↗

[Late results of treatment of maxillary fractures].

In the period of 3 years, from 1984 to 1986 in the Department of Maxillofacial Surgery, Institute of Stomatology, Medical Academy in Warsaw 230 patients were treated for maxillary fractures. Late results of this treatment were assessed in 102 patients coming for control examinations in 1988. In the assessment of the therapeutic results the following features were considered: facial symmetry, proportions of three facial segments, functions of the visual system and stomatognathic system, nasal patency, and sensory disturbances in the area innervated by the infraorbital nerves. On the basis of this late assessment of the results of treatment of these fractures it was found that the definite morphological-functional and aesthetic results were unsatisfactory in cases of Le Fort III and II type maxillary fractures. This points out that the therapeutic methods used as yet are not sufficiently satisfactory and other methods should be evolved.

Evaluation Studies as Topic↗

[Analysis of surgical-orthopaedic treatment of mandibular fractures in patients treated in the period 1984-1986].

During 3 years 1246 patients were treated for mandibular fractures, 828 of them were treated by conservative-orthopaedic methods while in 418 patients the displaced mandibular fragments were reduced and fixed surgically using various methods. The purpose of the assessment was a group of 319 patients in whom the fragments were reduced and fixed with ossous sutures. A good result of treatment was achieved after this operation in 291 cases (91.2%). In 28 patients (8.8%) postoperative complications developed requiring reoperation.

Follow-Up Studies↗